Individual
MRS. CONNIE MALENICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
108 PLEASANT ST, FORT KENT, ME 04743-1576
(207) 834-3481
(207) 834-7357
Mailing address
108 PLEASANT ST, FORT KENT, ME 04743-1576
(207) 834-3481
(207) 834-7357
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
LC4028
ME
Other
Enumeration date
08/06/2010
Last updated
08/06/2010
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